Published in Pipeline

Phase 3 neurotrophic keratitis trial enrolls first patient

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3 min read

RegeneRx Biopharmaceuticals, Inc. announced that the first patient has been enrolled in its phase 3 clinical trial assessing RGN-259, its novel drug candidate, for the treatment of neurotrophic keratitis (NK).

Give me some background on the company.

RegeneRx Biopharmaceuticals is a biopharmaceutical company seeking to develop Thymosin beta 4 (Tß4), a novel therapeutic peptide, for the protection, repair, and regeneration of tissue and organs.

The companies clinical pipeline includes three product candidates of Tß4:

RGN-259 (topical eye drop)

RGN-137 (topical gel)

RGN-352 (injectable formulation)

Now talk about RGN-259.

RegeneRx’s Tß4-based sterile and preservative-free eye drop is designed to potentially treat both dry eye disease (DED) and NK.

The novel drug candidate promotes cell migration and wound healing; it’s also the first pharmaceutical agent of its kind that has demonstrated corneal repair and anti-inflammatory properties.

To note, the FDA granted RGN-259 Orphan Drug status for NK treatment in 2013.

Give me some background on its development.

RGN-259 is being developed by a US joint venture between RegeneRx and HLB Therapeutics called ReGenTree, LLC.

How has it  performed in previous trials?

The first phase 3 trial (SEER-1) (NCT02600429) found that 60% of RGN-259-treated patients achieved complete corneal healing. The primary endpoint—ratio of corneal wound healed after 4 weeks’ administration—reported highly significant or strongly trending toward statistical significance within the RGN-259 group.

Talk about this phase 3 trial.

The SEER-2 trial (NCT05555589) is a double-masked, placebo-controlled trial that is enrolling an estimated 70 patients diagnosed with NK.

Participants will be administered either a 0.1% RGN-259 ophthalmic solution or placebo eye drops five times a day for 4 weeks; the primary endpoint is “complete corneal healing,” as determined by corneal fluorescein staining (CFS).

Anything else to know?

The SEER-2 trial is being conducted simultaneously with the phase 3 SEER-3 trial, including the exact same trial set up, patient enrollment, and primary endpoint. Taking into consideration that NK is a rare disease, ReGenTree plans on recruiting from 30+ clinical institutions across the United States.

Why simultaneous?

By conducting the two trials at once, ReGenTree is looking to significantly shorten the clinical development time period for RGN-259.

What’s next?

According to ClinicalTrials.gov, the SEER-2 study is expected to be completed by February 2024. Stay tuned for more updates!


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